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General NPI Number Information
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NPI Number | 1598041717
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Entity Type | Individual
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Provider Name | SONJA SMART OTR
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Gender | Female
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD STE C121
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City | AUSTIN
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State | TX
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Zip | 78751-1053
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Country | US
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Telephone | 512-925-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 N LAMAR BLVD STE C121
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City | AUSTIN
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State | TX
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Zip | 78751-1053
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 110909
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License Number State | TX
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